The Patient Protection and Affordable Care Act (PPACA) marketplace approved coverage for fictitious applicants and granted about $30,000 in premium tax credits to those accounts, according to a Government Accountability Office (GAO) report.
The GAO first conducted a study because they were asked to “examine controls for application and enrollment for coverage through the federal Marketplace.”
To do this, “GAO performed 18 undercover tests, 12 of which focused on phone or online applications,” the report states. “During these tests, the Marketplace approved subsidized coverage under the Patient Protection and Affordable Care Act (PPACA) for 11 of the 12 fictitious GAO applicants for 2014. The GAO applicants obtained a total of about $30,000 in annual advance premium tax credits, plus eligibility for lower costs due at time of service.”
The report was the topic of discussion at the Senate Committee on Finance hearing Thursday to examine Healthcare.gov’s enrollment controls.